Individual provider · Type 1 NPI
Robert L. Nichols, MD
General Practice Physician · Santa Teresa, NM
NPI number
1679634562
Active
Practice location
1300 Country Club Road
Santa Teresa, NM 88008
Fax (505) 589-7225
Mailing address
PO Box 1558
Santa Teresa, NM 88008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-344 (NM) |
| General Practice Physician Primary | 208D00000X | 94-344 (NM) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1679634562
Robert L. Nichols, MD's National Provider Identifier is 1679634562, issued on Dec 13, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Santa Teresa, NM. The record was last updated on Sep 11, 2025.